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Private Mirena coil fitting in London, by an FSRH-trained specialist.

A proper Mirena fitting by someone who does them week in, week out - with local anaesthetic or sedation genuinely on the table, and Kyleena, Jaydess and the copper coil discussed honestly before you decide.

See indicative pricing
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Indicative pricing

What a private Mirena coil fitting costs in London.

Indicative ranges across UK private providers. On the NHS the Mirena is free - private is for speed, choice of fitter and the anaesthetic that suits you.

In short

£300–£400, home the same hour.

Procedure Indicative range
Mirena coil fitting (LNG-IUS 52mg) £300–£400
Kyleena coil fitting (LNG-IUS 19.5mg) £300–£400
Jaydess coil fitting (LNG-IUS 13.5mg) £280–£380
Levosert (generic LNG-IUS 52mg) £250–£350
Mirena removal only £150–£250
Fitting under conscious sedation £800–£1,400
Consultation only £150–£300

Prices vary by clinic, by fitter, and by whether you choose sedation. The Mirena itself is free on the NHS; privately, most of what you are paying for is the fitter’s time and the theatre slot.

The problem

The right fitter, the right device, the right timing.

Mirena fittings go wrong when a rushed clinician tries them on the wrong day, in the wrong setting, without the right anaesthetic. We fix all three before you commit.

  • Not sure it is right?

    Kyleena, Jaydess, the copper coil, the implant or the mini-pill might fit better. We say so before booking.

  • Worried about pain?

    LA gel, LA injection, or conscious sedation - you pick, informed by the fitter, not booked in blind.

  • Want it done properly?

    A named FSRH-trained fitter who inserts coils weekly, in a proper clinic, with a six-week review included.

When it helps

When a Mirena coil is the right step.

The reasons we see most, plus the one red flag that means same-day review rather than an appointment.

  • Long-acting contraception

    A reliable, reversible method that lasts up to eight years for contraception - with no daily pill to remember.

  • Heavy menstrual bleeding (HMB)

    NICE recommends the Mirena as first-line for heavy periods - most women see a dramatic reduction within six months.

  • Endometriosis pain

    A hormonal coil can quieten endometriosis and adenomyosis by thinning the endometrium and steadying pain.

  • HRT - progestogen protection

    For women on oestrogen HRT with a uterus, the Mirena covers the progestogen half - licensed for five years in this use.

  • Adenomyosis

    For a heavy, painful, tender uterus, the Mirena is a mainstay - often the step before considering surgery.

  • Endometrial hyperplasia (select)

    In selected cases of endometrial hyperplasia without atypia, a Mirena is used under gynaecology supervision.

  • Swap from another method

    From the pill, patch, ring or implant - we plan the timing so cover is continuous and you are not caught out.

  • Red flag: pain plus late period

    Severe pain with a missed period after a coil is fitted needs same-day review - ectopic pregnancy must be excluded.

Device options

The Mirena is not the only option.

What each device on the table actually involves - and which fits which problem.

  • Mirena (LNG-IUS 52mg)

    Eight years for contraception, five years for heavy periods or as HRT progestogen cover. The default choice for most indications.

  • Levosert (generic 52mg)

    Clinically equivalent to Mirena at a lower list price - a reasonable choice for contraception and heavy bleeding.

  • Kyleena (LNG-IUS 19.5mg)

    A smaller frame and a lower hormone dose. Licensed for five years - often preferred by women who have not had children.

  • Jaydess (LNG-IUS 13.5mg)

    The smallest frame and the lowest dose. Licensed for three years - periods are lighter but less often absent.

  • Copper coil (non-hormonal)

    A non-hormonal alternative that lasts five to ten years. Periods usually stay, and can be a little heavier.

  • Removal and swap

    A quick outpatient removal, with a new coil placed at the same visit if the timing is right.

  • Fitting with LA or sedation

    Local anaesthetic gel or injection for most; conscious sedation is available if a previous fitting was very difficult.

  • Consultation only

Safety and settling

What to expect afterwards - honestly.

A Mirena is one of the most studied contraceptives in the world. The things worth planning are the anaesthetic choice, the three-to-six-month settling window, and knowing what is a red flag.

  • Cramping and spotting for months

    Irregular bleeding and cramping for three to six months is expected. Around one in five women have no periods at all by twelve months.

  • Perforation is rare

    The coil passing through the wall of the uterus happens in roughly one to two fittings per thousand - higher in breastfeeding women, still uncommon.

  • Expulsion - around one in twenty

    The coil coming out on its own happens in about five per cent of women over five years, most often in the first few months. Checking the threads matters.

  • Infection - small and time-limited

    Pelvic infection risk is one to two per cent, almost entirely in the first three weeks. That is why we screen for chlamydia and gonorrhoea beforehand.

  • Ectopic pregnancy - rare but serious

    Pregnancy with a Mirena in place is very rare, but when it happens it is more likely to be ectopic. Any late period plus pain is same-day territory.

  • Hormonal side effects settle

    Breast tenderness, mood changes, acne or headache can happen early on. Most settle within three to six months as the systemic dose is low.

  • Contraindications matter

    Pregnancy, active pelvic infection, undiagnosed vaginal bleeding, a distorted uterine cavity, current breast cancer and severe liver disease are all reasons not to fit.

  • Removal is straightforward

    A gentle pull on the threads at an outpatient appointment. Fertility returns to your baseline immediately.

  • Red flags

    Fever, spreading pelvic pain, heavy bleeding, missing threads or a late period with pain are all reasons to be seen the same day.

Reading your fitting note

Your fitting note in four parts. Read the last one first.

Whichever device was fitted, the note the clinician sends you keeps to the same shape.

A UK women’s health specialist reviewing a patient’s notes

A quiet reminder

Clinical language is precise and can read coldly - we translate it for you.

If you would like us to talk you through the note before your review, just ask.

  1. 01 Header

    Device fitted and indication

    Which coil (Mirena, Kyleena, Jaydess or Levosert) was placed, and whether it is for contraception, heavy periods, HRT cover or endometriosis.

  2. 02 Technique

    Fitting technique and anaesthetic

    Whether LA gel, injection or sedation was used, the uterine sound length, and any difficulty encountered during placement.

  3. 03 Findings

    Position, threads and screening

    A note that the coil sits correctly at the fundus, the thread length trimmed, and the chlamydia and gonorrhoea screen result.

  4. 04 Impression

    Bleeding pattern, review, expiry

    Read this first: what to expect for the next three to six months, when to come back, and the year the coil should be replaced.

Recognised by major UK insurers

BupaAXA HealthVitalityAvivaWPACignaHealixBupaAXA HealthVitalityAvivaWPACignaHealixBupaAXA HealthVitalityAvivaWPACignaHealix

Cover for a Mirena fitting varies by insurer - usually funded when medically indicated (heavy periods, endometriosis, HRT cover), self-pay for contraception alone.

Frequently asked

Everything we get asked about the Mirena coil.

Quick answers on pain, cost, side effects, and how it compares to Kyleena, Jaydess and the copper coil.

  • How long does a Mirena coil last?

    Eight years for contraception (updated FSRH guidance from 2022), five years when used for heavy menstrual bleeding, and five years as the progestogen half of HRT. Kyleena is licensed for five years, Jaydess for three.

  • Does the Mirena fitting hurt?

    Most women describe it as a strong period-type cramp for a minute or two. Local anaesthetic gel or an injection is offered as standard, and conscious sedation is available for women who have had a difficult fitting before or feel very anxious.

  • How much does a private Mirena fitting cost in London?

    Roughly £300–£400 for a Mirena, £280–£380 for a Jaydess, and £250–£350 for a Levosert generic. Removal alone is £150–£250. Sedation adds £500–£1,000.

  • What are the differences between Mirena, Kyleena, Jaydess and Levosert?

    Mirena and Levosert are both 52mg levonorgestrel - the highest dose and the longest licence (up to eight years for contraception). Kyleena is 19.5mg on a smaller frame, licensed for five years. Jaydess is 13.5mg on the smallest frame, licensed for three years. Higher-dose coils are more likely to stop periods altogether.

  • Will my periods stop with a Mirena?

    Bleeding is usually irregular for the first three to six months, then becomes light or absent. About one in five women have no periods at all by twelve months; most of the rest have very light spotting only.

  • Who should not have a Mirena fitted?

    Pregnancy, current pelvic infection, unexplained vaginal bleeding, a uterine cavity that is distorted by fibroids, current breast cancer and severe liver disease are the main reasons not to fit. A careful history and examination pick these up beforehand.

  • What are the risks of having a Mirena?

    Perforation of the uterus at fitting is around one to two per thousand. Expulsion is around one in twenty over five years. Pelvic infection risk is one to two per cent, almost all in the first three weeks. Pregnancy is very rare but, if it happens, more likely to be ectopic.

  • Can I use a Mirena for HRT?

    Yes. For women on oestrogen HRT who still have a uterus, the Mirena provides the progestogen protection the endometrium needs. In this use it is licensed for five years.

  • How is a Mirena removed, and how quickly does fertility return?

    Removal takes a minute or two in an outpatient appointment - a gentle pull on the threads. Fertility returns to your baseline immediately, so if you are not planning a pregnancy you need contraception straight away.

  • When should I seek urgent help after a fitting?

    Fever, spreading pelvic pain, heavy bleeding, missing threads, or a late period combined with pain are all reasons to be seen the same day - an ectopic pregnancy needs to be excluded.

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